Organization
IN HOME MEDICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICCOLE N RANZ FNP-BC (OWNER)
(815) 988-8500
Entity
Organization
Contact information
Practice address
4215 NEWBURG RD, ROCKFORD, IL 61108-6479
(815) 988-8500
(815) 977-5956
Mailing address
4215 NEWBURG RD, ROCKFORD, IL 61108-6479
(815) 988-8500
(815) 977-5956
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
209.003861
IL
Other
Enumeration date
02/05/2010
Last updated
01/20/2022
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